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    US Trends in Quality-Adjusted Life Expectancy From 1987 to 2008: Combining National Surveys to More Broadly Track the Health of the Nation

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    Authors
    Stewart, Susan T.
    Cutler, David M.
    Rosen, Allison B.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2013-09-12
    Keywords
    Clinical Epidemiology
    Epidemiology
    Health Services Research
    Public Health
    
    Metadata
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    Link to Full Text
    http://dx.doi.org/10.2105/AJPH.2013.301250
    Abstract
    Objectives. We used data from multiple national health surveys to systematically track the health of the US adult population. Methods. We estimated trends in quality-adjusted life expectancy (QALE) from 1987 to 2008 by using national mortality data combined with data on symptoms and impairments from the National Medical Expenditure Survey (1987), National Health Interview Survey (1987, 1994-1995, 1996), Medical Expenditure Panel Survey (1992, 1996, 2000-2008), National Nursing Home Survey (1985, 1995, and 1999), and Medicare Current Beneficiary Survey (1992, 1994-2008). We decomposed QALE into changes in life expectancy, impairments, symptoms, and smoking and body mass index. Results. Years of QALE increased overall and for all demographic groups-men, women, Whites, and Blacks-despite being slowed by increases in obesity and a rising prevalence of some symptoms and impairments. Overall QALE gains were large: 2.4 years at age 25 years and 1.7 years at age 65 years. Conclusions. Understanding and consistently tracking the drivers of QALE change is central to informed policymaking. Harmonizing data from multiple national surveys is an important step in building this infrastructure. (Am J Public Health. Published online ahead of print September 12, 2013: e1-e10. doi:10.2105/AJPH.2013.301250).
    Source
    Susan T. Stewart, David M. Cutler, and Allison B. Rosen. (2013). US Trends in Quality-Adjusted Life Expectancy From 1987 to 2008: Combining National Surveys to More Broadly Track the Health of the Nation. American Journal of Public Health. e-View Ahead of Print. doi: 10.2105/AJPH.2013.301250. Link to article on publisher's site
    DOI
    10.2105/AJPH.2013.301250
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46651
    PubMed ID
    24028235
    Related Resources
    Link to article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.2105/AJPH.2013.301250
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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